Prior Authorization Specialist
Phil, United States

Phil is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.

The primary responsibilities of this role are:

• Verifies patient insurance coverage utilizing phone or online resources
• Submit prior authorizations to insurance plans in a timely manner via payer-specific portals and vendors
• Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
• Ensures all pertinent medical documentation is accurate and present prior to authorization submission
• Follows up on pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval
• Document activities appropriately in process notes using our operating system
• Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals
• Demonstrate flexibility to perform duties wherever volume deems it necessary

The most important goal here at Phil is to improve patients' medication adherence by offering a quick and effortless way for patients to get their medications on time.

Requirements

About You:

• Passionate about helping people
• Ability to work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office
• Proven team player, but can solve problems independently as well
• Exceptional written and verbal communication skills
• Reliable, and a self-starter
  

Qualifications amp; Skills:

• Demonstrated experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
• Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
• Have an OH Pharmacy Technician License (preferred, but not required)
  

Benefits

• Ground floor opportunity with one of the fastest-growing startups in health-tech
• Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders
• Competitive compensation (commensurate with experience)
• Full benefits (medical, dental, vision)
• 401(k) contribution opportunity

Job Rewards and Benefits